Robert Randolph Laville Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4198 Issued in LA

Practice address

95 Mathews Blvd
Lafayette, LA 70508-5725

Phone

(337) 993-3223

Fax

(337) 993-2155

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679541353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MATHEWS BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085725",
            "telephone_number": "337-993-3223",
            "fax_number": "337-993-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MATHEWS BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085725",
            "telephone_number": "337-993-3223",
            "fax_number": "337-993-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVILLE",
        "first_name": "ROBERT",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Elyse Lavergne
• Karen P Lavergne, RN, IBCLC, RLC
• Kyle G Lavergne, NP
• Nicole Lavergne, FNP
• Mary Lois Laville, MD
• Carol Rose Lavin, CRNA
• Nicholas Lawrence Lavin, M.D.
• Lawrence I. Russell, M.D.,LTD
• Lawrence Tam OD & Associates, LLC
• Christopher Lawrence

• General Practice Dentistry in Lafayette, LA
• Providers in Lafayette, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.